Escort Application

DEADLINE for Application - November 20, 2026

Please submit your name EXACTLY as you would like it to be read at the Ball and printed in the booklet.

Escort's Full Name

Escort's Address

Escort's Email

Escort's Cell Phone

Escort Birthday

Month

Day

Year

Name of Current School and Grade/Year

Church Affiliation

Parents' Names - First, last (if different), and titles (i.e. Dr., etc.)

Parents' Address (if different)

Mother's Cell Phone

Mother's Email

Name and ages of siblings. Also, if they have been escorts or debs in the past, are are elibible for future balls.

Please remit a $250 check payable to Western Diocese Ladies’ Auxiliary and mail to:

Jeanine Ash

16007 St. Andrews Place

Gardena, CA 90247

Or, if you prefer to pay via Zelle, the Ladies Auxilliary of the Armenian Church Western Diocese account email is laacwd@gmail.com.

If you have any questions, please contact Adrineh Ghookasian at 818-640-7671 or adrinehghookasian@gmail.com.